JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 11-14.doi: 10.6040/j.issn.1673-3770.0.2014.291

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Diagnosis and treatment of otitis media with effusion in children with bilateral sensorineural deafness.

SUN Changzhi, LIU Wenlong, LI Yan, LUO Renzhong   

  1. Department of Otolaryngology, Guangzhou Women and Children's Hospital, Guangzhou 510623, Guangdong, China
  • Received:2014-08-31 Revised:2015-06-30 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To explore the clinical characteristics of otitis media with effusion (OME) in children with bilateral sensorineural deafness. Methods Clinical data of 17 pediatric OME patients (34 ears) with bilateral sensorineural deafness (Group A) and another 17 pediatric patients (34 ears) with simple OME (Group B) were reviewed. Incidences of middle air adhesion, and changes of auditory brainstem response (ABR) before and after operation were compared. Results In Group A, the primary symptom was hearing loss; 7 cases were misdiagnosed as sudden deafness, and 5 cases (7 ears) had middle ear adhesion; the response threshold of wave Ⅴ of ABR was improved from 0 to 30 dB nHL (average 17.3 dB nHL) after tympanostomy tube and the improvement had significant difference (P<0.05). In Group B, the primary symptoms included ear discomfort (15 cases) and hearing loss (2 cases), and 1 patient (1 ear) had middle ear adhesion. There was statistical difference between the two groups in the incidence of middle ear adhesion (P<0.05). Conclusion It is difficult to collect the history of pediatric patients with OME and bilateral sensorineural deafness, which is often misdiagnosed. Surgical intervention should be taken timely to prevent complications. Tympanostomy tube can effectively improve hearing in these patients.

Key words: Sensorineural deafness, Otitis media with effusion, Children, Misdiagnosis

CLC Number: 

  • R764.43
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